Get new jobs by email
- ...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskFull timeRemote workFlexible hours
- ...home anywhere in the Continental United States. Position Purpose: Manages a team responsible for supporting key elements of the Risk Adjustment Compliance program with a focus on the auditing and monitoring functions. Collaborates with business areas to ensure effective...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours
- ...Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance...RiskFull timePart timeWork at officeRemote workFlexible hours
- ...Highmark Inc. **Job Description :** **JOB SUMMARY** This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government...RiskFor contractorsWork at officeLocal area
- ...realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication...RiskRemote workFlexible hours
- ...realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication...RiskRemote workFlexible hours
- ...this job have the flexibility to work remote from home anywhere in the Continental United States. Position Purpose: Supports the Risk Adjustment Compliance program elements, with a focus on the auditing and monitoring functions. Collaborates with business areas to ensure...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours
- ...professional, educational and life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and execution of analytics capabilities that power Datavant's risk...Risk
- **Become a part of our caring community and help us put health first** The Director, Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning support for business segments and the company at large. The Director, Risk Adjustment Strategy...RiskFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome office
- ...reports, meetings, and status updates, etc.). + Identify project risks that impact the quality of our product and services delivery to... ...on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a diverse...Risk
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental and contractual requirements, with a focus on risk adjustment operations. The role involves varied...RiskFull timeTemporary workApprenticeshipRemote work
- ...MRA programs and related STP operations + Identify process gaps, risks, and opportunities for efficiency or quality improvement +... ...healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, cost...RiskFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome office
- The Human Resources & Risk Management department is hiring a Risk Management Officer to join our team and lead Risk Management for... ...This position works with management, legal counsel, insurance adjusters, contractors, and various other agencies. A high degree of tact...RiskFull timeFor contractorsWork at officeMonday to Friday
- ...Fortune Best Workplaces in Financial Services & Insurance Auto Claims Adjuster **PRIMARY PURPOSE** **:** To analyze mid- and higher-level... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area
- ...program and finance staff. This includes regularly reviewing and adjusting spending plans to ensure alignment with both funding... ...organizational goals. The COO also leads the contract review and risk assessment processes, using judgment to identify when legal counsel...RiskContract workFor contractorsCasual work
- ...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster I Workers Compensation I CA experience required I Hybrid **... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal areaFlexible hours
- ...Workplaces in Financial Services & Insurance French Speaking Desk Adjuster - Remote **_Bilingual/French Speaking Desk Adjuster_** **PRIMARY... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote work
- ...Most Loved Workplace® Forbes Best-in-State Employer Auto Claims Adjuster (Per Diem/Remote) This is a remote per-diem role. **PRIMARY PURPOSE... ...** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskDaily paidContract workWork at officeLocal areaRemote work
- ...experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or CCS and/or RHIT or RHIA Certifications,** to join... ...to: **Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more** . **Must have ICD-10-PCS coding experience,...RiskWork at officeRemote workLive inFlexible hoursShift work
- ...Workplaces in Financial Services & Insurance Regional General Adjuster - Pacific Region PRIMARY PURPOSE : To handle losses or... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Pacific Region PRIMARY PURPOSE : To investigate claims... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
- ...Workplaces in Financial Services & Insurance Executive General Adjuster (Remote in WA, OR, AK or HI) As an adjuster at Sedgwick, you'll... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote workFlexible hours
- ...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster **Embark on an Exciting Career Journey with Sedgwick Specialty*... ...Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals...RiskPermanent employmentWork at officeFlexible hours
- ...Most Loved Workplace® Forbes Best-in-State Employer Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you'll have... ...** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskLocal areaRemote workWork from homeFlexible hours
- ...Loved Workplace® Forbes Best-in-State Employer Executive General Adjuster As an adjuster at Sedgwick, you'll have the opportunity to take... ...counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskWork at officeLocal areaFlexible hours
- ...commitment to knowledge sharing and team collaboration. + Flexibility to adjust work hours as needed to support 24x7 operations. _Skills,... ...and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With...RiskHourly payContract workLocal areaRemote workShift workWeekend work
- Head of Credit Risk Management 125236 Zurich is currently looking for a Head of Credit Risk Management to work out of our North American... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskFull timeTemporary workWork at officeLocal areaRemote workVisa sponsorship
- ...financial liability and loss. ESSENTIAL JOB FUNCTIONS Directs Risk Management Division; identifies risks and exposure for losses to... ...participates in negotiations, conferences and mediations with adjusting companies, legal councils, County staff, claimants, etc.; prepares...RiskFor contractorsWork at officeLocal area
- ...& Oversight team and be responsible for supporting operational risk and governance efforts for the broader MS - U.S organization. This... .../audiences. * Resilient collaborator with proven ability to adjust quickly to shifting priorities, multiple demands, ambiguity, and...RiskFull timeWork at officeLocal areaVisa sponsorshipFlexible hoursShift work
- ...future. **What You'll Do** + Uncovers opportunities for forecast adjustments with weekly resource staffing analysis and communicate these to... ...on planned work completion, and call to action on potential risks & issues + Learn, and utilize the Delivery Excellence methodology...RiskFull timeLocal areaRemote work